Organization Active NPI

TMG Medical Group CSP

  • Multi-Specialty Clinic/Center
  • Barceloneta, PR
National Provider Identifier
1205052172
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
85 Issued in PR
Legal business name
TMG MEDICAL GROUP CSP
Practice address
1 Calle Tomas Davila
Barceloneta, PR 00617-2798
Phone
(787) 846-6890
Fax
(787) 846-5458
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yonathan Rivera Jimenez
Title
President
Phone
(787) 600-5661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 85 PR Primary

Addresses

Primary practice location

1 Calle Tomas Davila
Barceloneta, PR 00617-2798

Mailing address

Calle Tomas Davila #1
Barceloneta, PR 00617
Phone (787) 846-6890

Other identifiers 1

IdentifierTypeStateIssuer
06-249OtherPRCNC

National Provider Directory

National Provider Directory
Tax ID family
Farmacia CDT TMG Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1205052172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE TOMAS DAVILA #1",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "00617",
            "telephone_number": "787-846-6890",
            "fax_number": "787-846-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE TOMAS DAVILA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172798",
            "telephone_number": "787-846-6890",
            "fax_number": "787-846-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMG MEDICAL GROUP CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "RIVERA JIMENEZ",
        "authorized_official_first_name": "YONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-600-5661"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "85",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNC",
            "identifier": "06-249",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.